General Donation Form - Mercy Health Muskegon

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Mercy Health Muskegon is a non-profit 501(c)(3) organization, and all donations are tax deductible. If you have any questions about giving, please call the Office of Philanthropy at 231.672.3891 or email martilaj@mercyhealth.com.

You can also mail donations to:
Mercy Health Muskegon
Office of Philanthropy
1500 E. Sherman Blvd
Muskegon, MI 49444

The Mercy Health Muskegon Tax ID number is 38-2589966.

Donation Information

Amount:

$1,000.00

$500.00

$250.00

$100.00

$50.00

$25.00

Other

$

*

Designation:

When giving a tribute or memorial gift to a specific area, please select from the drop-down menu above. To give an unrestricted tribute or memorial gift, please select the Caring Fund option.

Type of gift:

One-time gift
Recurring gift

Frequency:

On:
Starting: Ending:

Corporate:

This donation is on behalf of a company

Anonymous:

I prefer to make this donation anonymously

Comments:

Billing Information

Title:

*

First name:

*

Last name:

*

Country:

*

Address:

*

City:

*

State:

*

ZIP:

*

Phone:

*

Email:

*

Payment Information

Cardholder's Name:

*

Credit Card Number:

*

Card Type:

*

Card Expiration:

/

*

Card Security Code:

help

*

Tribute Information

Name:

*

First name:

Last name:

*

Type:

*

Description:

*

Mail a letter on my behalf

*

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